AIIMS Newsletter for the year 2013

1. LETTE
NEWS
AIIMS
E1
:ISSU
VOL 1
R
A I IMS COM PUT E RISA T I ON
INSIDE THIS
ISSUE:
Creation of
NIS
2
Implementation of
2
Vista
Open Pacs- 3
online imag-
Prof. MC Misra, Director, AIIMS
When I took over as the Director of All India Institute of Medical Sciences, New
Delhi on 11th October 2013, I received compliments and congratulatory messages
from one and all at AIIMS, from within the country and overseas. All my colleagues,
fellow staff of AIIMS came to congratulate me and conveyed that each one of them
have a great expectation from me. I fully acknowledged their feelings but conveyed
that I also have a great expectation from each one of them. I fully appreciate the huge challenge ahead
and am confident that we can achieve everything and anything if all of us work in unison and speak the
same language when it comes to the welfare of AIIMS family keeping patients at the centre stage.
We all know that AIIMS has become a brand name in India and abroad with people from all strata of society looking up to it to provide ethical, affordable and quality healthcare. This stature and trust from feling
low citizens has not come overnight. It has taken decades of extreme hard work by our founding fathersLab Module 3
faculty, residents, nurses, technicians and scientists to reach to this level. Many of us have become complacent and are happy in basking in the past glory of AIIMS. This has to change. With the privileges that
The WEEK
3
come with being associated with this great institution also come great responsibilities and we should all
introspect about what we have done for AIIMS as well as what we envision for this institution. I believe
4
Read My
that there is immense untapped potential in AIIMS which with the proper nurturing can make AIIMS a
Lips
truly global brand. Let me assure you all that I will work with single
minded determination to take the AIIMS brand to new heights globally.
WHAT MATTERS MOST
AIIMS has been catering to an ever increasing patient volume and although the statistics seem overwhelming, a lot can be done to improve
patient care as well as to bring satisfaction amongst both the patients
and care givers. It is often said that this patient ‘load’ actually hampers
education and research activities which are the actual mandate of
AIIMS. You may remember how the railways and banking industry reinvented themselves in India using computerisation in the 1990’s. I firmly
believe that by leveraging this patient ‘load’, computerisation can similarly bring a turnaround in patient care at AIIMS besides revolutionizing
research and education activities.
I again thank you all for reposing this trust in me and am sure that you
will support me in realizing this shared dream for the benefit of society
at large. MC Misra
TIMELINE FOR COMPUTERISATION AT AIIMS
1 January 2014
1 March 2014
For Patients
Appointment for sample collection
in OPD
Availability of admission facility at
cash counters in RAK OPD (8AM4PM)
Seamless billing through prepaid cards
throughout main AIIMS
Limited appointment facility for next 3
days for patients at OPD registration
counters for patients in queue (after the
current quota is over) in RAK OPD
Appointment through call centre
for select departments
24 X 7 admission counter in Casualty
Patient display system (PDS) in
ED. Admission Counters in IRCH,
CNC and Dental Centre from
8Am-8pm
For TechFor Nurses For Doctors
nicians
LIS (Laboratory Information
System) in all Labs in Main AIIMS
Result entry of all investigations
by technicians
Birectional Interfacing of all emergency Lab equipment with LIS
Birectional Interfacing of all Lab
equipment with LIS
E-Roster linked with biometric attendance across
AIIMS
100% ADT
(Admission/discharge/Tran
sfer)
100% Store Indent
Vital entry for all In-patients
(At least once in each shift)
Nursing transfer notes
E-Roster across main AIIMS
Seamless billing through prepaid
cards throughout AIIMS
Complaint logging & resolution
display system
E-Roster linked with
biometric attendance
across AIIMS
Open PACS implementation all over
Main AIIMS
Availability of Lab reports in eHospital Software all over Main
AIIMS. Electronic Death forms,
Clinical note entry (Admission
note, round note, discharge note,
operation note etc) in CPRS
Viewing of all labs in CPRS
Faculty Management system
for Faculty
Full Wifi all over main AIIMS
and JLN Audi complex OPD
CPRS & PACS implementation across all centres in
AIIMS
1 Dec 2013
15 December 2013

2. PAGE
2
Creation of Nursing Informatics Specialists (NIS) in Main AIIMS
“The Expectations of life depend upon diligence;the Mechanic that
would perfect
his work must
first sharpen
his tools.”
Confucius
COMPUTERISATION
MODULE
FOR
AIIMS
In a major thrust towards Electronic Medical Records (EMR) implementation in
AIIMS, a new cadre of nurses,
designated as NIS will formally be deployed in all wards in
Main hospital wef 1 December
2013. The NIS cadre was for
the first time created in the
country at JPNA Trauma Centre and is inarguably one the
important reasons for the success of computerisation in the
trauma Centre. At the trauma
centre, NIS staff is present in
ED round the clock and ensure
100% compliance in the eMLC
system, PDS (Patient display
system), DDDS (Doctors duty
display system) as well as CPRS
(Computerised patient record
system). They also collect com-
pliance statistics in the
wards and are the bridge
between doctors, nurses &
the IT team.
Currently there are 10
nurses who are undergoing
intensive training in Trauma centre as well as in
Computer facility (main
AIIMS). Each NIS will be
deployed on every floor of
the main Hospital and will
be responsible for the
three wards on that floor.
Additionally, one NIS will
be posted in old private
and new private block(s).
Our vision is to have a
team of at least 40 NIS
by March 2014 so that
they can be posted round
the clock in main ED and in
other centres of AIIMS. We
are confident that the presence of NIS in the main hospital will go a long way towards successful computerisation of AIIMS.
On-duty phone No of NIS
1st Flr(AB1,C1,D1) 9868398624
2nd Flr(AB2,C2,D2)9868398625
3rd Flr(AB3,C3,D3)9868398626
4th flr(AB4,C4,D4)9868398627
5th flr(AB5,C5,D5) 9868398628
6th Flr(AB6,C6,D6)9868398629
7th flr(AB7,C7,D7)9868298630
8th flr(AB8,OT)9868398631
New pvt -9868398632
Old pvt-9868398633
Vista EMR debuts in AIIMS
After the success of Vista EMR at
Trauma centre, the free & open-source
solution has been extended to main
AIIMS and will be fully functional by 15
December 2013. For those who are not
aware, Vista EMR is the world’s top
rated EMR and is running in hospitals
with combined capacity of more
than 100,000
beds in USA!
All residents
Cover Sheet of CPRS
who have rotated to
AIIMS Trauma centre can vouch for its
user-friendliness and capability. This
EMR has also been credited for transforming the poorly performing government hospitals in USA to ones which
Graphic TPR Chart
provide the best care. Not convinced?
Please read the article http://
www.washingtonmonthly.com/
features/2005/0501.longman.html to
know more about this amazing product.
We are very excited about rolling out
Vista throughout AIIMS and believe
that it has the potential to catapult
AIIMS to the next
level in patient care
& research.
Patient NOTES

3. PAGE
Open PACS Implemented throughout
Main AIIMS
Easily accessible & user
friendly PACS has always
been on the top of the wish
list for doctors at AIIMS.
You will be happy to know
that the undisputed global
leader in free & open source PACS (DCM4CHEE) has
been successfully implemented at main AIIMS. It is
now possible to see CT, Angiography and radiographs done in Main radiology department in almost
real time anywhere in main AIIMS through any of
the computer placed in wards! You can also view the
images on your hand held devices such as
smartphones, PDA’s & IPads!
This implementation has been
possible due to strong support
from the AIIMS department of
radiology. We plan to add modalities like portable X-ray’s &
ultrasound machines to this
PACS in the coming weeks
Lab results on your fingertips!
Running to find out the lab reports? Your wait
may soon be over. In a major initiative by different labs in the department of Lab Medicine (Including emergency lab), the technicians are entering reports into the e-hospital
software provided by NIC (National Informatics Centre) and these results can be
viewed on any computer in any ward anywhere
in main Hospital. Huge thank you to all technicians working in different labs for making
this happen. This proves how team work can
improve patient care on the ground. We soon
plan to have bidirectional automated interfaces between the auto-analysers and the ehospital software so that manually entry may
not be required. Also, work is in progress to
make all lab results appear in Vista-CPRS so
that all data can be viewed in a more userfriendly manner.
AIIMS on the top!!!!
Not surprisingly, the recent survey done in Sep 2013 by “The
WEEK” magazine shows that
among 15 main city hospitals s
AIIMS tops as best hospital in
India with the best multispecialty facility and provides best
medical education.
The work for making this the
number 1 institute in our
country undoubtedly goes
to our forefathers who
had the vision and dedication for AIIMS.
We would all agree that a
lot needs to be done and
we cannot rest on our laurels if we want AIIMS to
be one of the best institutes in the world!
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4. PAGE
4
Read my Lips!: Priorities of our new Director
Dr MC Misra is new AIIMS chief
Durgesh Nandan Jha, TNN Oct 11, 2013, 11.34PM IST
NEW DELHI: India's premier medical college and hospital, All India Institute of Medical Sciences, got a new director on Friday with the appointment of Dr MC Misra. Till now, Misra was the head of the institute's trauma centre. Dr Misra (61) is known as a leading surgeon and is also credited with developing the AIIMS Trauma centre into a model of care for emergency services in the country. Speaking to TOI soon after taking over
as the AIIMS director, Misra said, "My aim will be to make AIIMS more patient-friendly. Computerization of patient records, capacity building to
ease admissions and reducing the waiting time for surgeries and procedures will be the priority."
Oct 2013 Rhythma Kaul rhythma.kaul@hindustantimes.com
I plan to reduce wait for surgeries, OPD queues
NEW DELHI: Dr MC Misra spoke to HT after he took over as the director of the All India Institute of Medical Sciences (AIIMS).
What are you priorities as the AIIMS director? I want AIIMS to be more patient-friendly. We will work to reduce queues for
diagnostic tests, OPD consultation, pharmacy and also the wait period for surgeries. The proposed surgical centre, motherand-child centre and full-diagnostic block will segregate patients. Computerisation is necessary to maintain medical records. I
want to introduce a system to allow patients to make appointments online or on phone. Why has research work at AIIMS,
which is primarily a research institute, taken a back seat? We don’t have sophisticated laboratories needed for high-quality
research. Yet, many scientists use the label of AIIMS to move abroad. Our faculty is burdened with clinical work and hardly
get time for research. We must recruit more people. ICMR and DBT are working to create set-ups conducive for research.
Work done by doctors and scientists has hardly been shared due to gag orders. Don’t you feel that they should be free to
share their work? Absolutely. I feel that the work we do at AIIMS is under-projected, and we must change that. There have
been corruption charges against an AIIMS staffer. How do you plan to maintain transparency? We have to plug gaps and ensure no single person is responsible for decision making at all levels. Technology has made advances. Will it come to AIIMS?
We have to look at two things: the role of technology and the cost. I want to develop a set-up within AIIMS to create low-cost
versions of these tests.
There should be no waiting list for cancer, says new AIIMS director
Pritha Chatterjee : New Delhi, Wed Oct 16 2013, 08:15 hrs
Two days after he took over as the director of AIIMS, Dr M C Misra said he would focus on the introduction of an appointment system for patients and a centralised payment mechanism — preferably cashless — for various procedures. "I am trying to work out a mechanism where
patients can book appointments with doctors so they don't have to come and wait for hours. We had a call centre-like centralised system at
AIIMS Trauma Centre. I am trying to see if we can replicate it here," he said.
He said such a system would reduce workload. "In the long run, I imagine it is possible for a patient from Bihar referred here for a cardiac procedure to take an appointment before travelling to the capital. If we publicise the numbers properly, and educate the public, I am confident we
can achieve it," Dr Misra said.
INTERVIEWS
by Vidhi Rathee Dr M C Misra, Director,AIIMS, New Delhi,Sunday, October 13, 2013
Need to introduce computer and other IT related services in public healthcare sector
What are your plans about computerization of services to make healthcare delivery better at AIIMS?
The idea of electronic health record systems has been still hanging at AIIMS. Computerisation of services can help in better coordination
not only in the hospital but also between the hospitals. In western countries, the figure is two computers per patient whereas in India the
figure is as low as one computer for 100 patients. The ratio indicates an urgent need to introduce computer and other IT related services
in public health service sector. It can bring positive change in processes leading to much needed clarity and ensure better level of satisfaction to patients in the hospitals. Adopting paperless practices could help in providing useful information to large number of visiting patients by readily available database that can curb disorder and confusion that generally happens due to lack of information regarding details of patients and availability of services.
So yes, introducing technology and apportioning maximum computers for ease of work and timely services remains my priority.
Printed and published by Dr Deepak Agrawal on behalf of AIIMS, New Delhi. For any feedback/queries please contact Ms Metilda at 9868398565